Please submit a letter of recommendation from a faculty member. (Please Note: Allied Health students are required to obtain the letter of recommendation from their program director.) Letters of recommendation must include your name and which Nicaragua program you are applying for (i.e., Nicaragua March).Max file size is 4 meg

Briefly describe your past or current patient care experience (work or school related).

Community Service Involvement. Include dates and detailed descriptions:

Leadership Activities. Include dates and detailed descriptions:

Other Pertinent Experience (i.e., public health nurse, taught kindergarten in inner city L.A., assisted with organizing health fairs in a border town, etc.) Include dates and detailed descriptions:

Describe why you want to participate in the Nicaragua international program (500 words or less): words left

The Office of Global Health will e-mail you confirmation of receipt of your application. It is your responsibility to follow up with the Office of Global Health if you do not receive confirmation within 48 hours.

For all programs in Nicaragua, interviews may be conducted as part of the selection process.